Loading...
HomeMy WebLinkAboutMiscellaneous - 125 ROCKY BROOK ROAD 4/30/2018 (2) 125 Rocky Br'o'ok"� Road - T i I r f I i 4 Lot & Street IapParceT � -. / � � CONSTRUCTION APPROVAL Has plan review fee been paid: CD-10 NO Permit# r Plan Approval: Date:-1-61161q-1_ Approved by: Designer: kyr- Plan Date: Conditions: Water Supply: wn Well Well Permit: Driller: Well Tests: Chemical `- ate Approved Bacteria I Date Ap -aV d Bacteria II Date Approved Plumbing Sign-Off: Comment Wiring Sign-Off: s. . Form"U" Approval: Approval to Issue: YES Date Issued NO Conditions: By. Final Approval: All Permits Paid? Well Construction Approval? YES NO Septic System Construction Approval? YES NO Certification? YES NO Other YES NO YES NO Any Variance Needed? YES NO FINAL BOARD OF HEALTH APPROVAL: DATE: APPROVED BY: i SEPTIC SYSTEM INSTALLATION Is the installer licensed? NO Type of Construction: W REPAIR New Construction: Certified Plot Plan Review S NO Floor Plan Review NO Conditions of Approval from Form U 1p Issuance of DWC permit: YES NO DWC Permit Paid? YES NO DWC Permit #�_ Installer: Begin Inspection: YES NO Excavation Inspection: Needed: Passed: -- Construction Inspection: Needed: As BUIL Plan Satisfactory: YES: Approval of Backfill: Date: �4� By.O` Final Grading Approval: Date: By: Final Construction Approval: Date: By: Certificate of Compliance: Approval: Date: u�t &muinnwtub of oar4uots pomk,illai. �3°i�- F� Erpa=rnt of pub is £infi � � Ooeuptttrtry A fee Cttsckea BOARD OF FIRE PREVENTION REGULATIONS 521 CMR 12:00 Urso des"111114^k1 APPLICATION FOR PERMIT ' TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CHAR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Oat* d or Town of NORTH ANDOVER To the Inspector at Wires: I The udersigned applies for a permit to perform the electrical work� de§cribed below. Location (Street 3 Number) � ����,e� �3/z��C Owner or Tenant Owner's Address .3 L S/f/mac'jl�j jTj2�l Is this permit in conjunction with a building permit: Yes No (Check Appropriate Sox) Purpose of Building _/)/ZQ,-- / X71"` Utility Authorization No. &O .S3 Existing Service Amps _J Voits Overhead ',! Undgrnd [1 No. of Meters •' New Service Amps J D Valt Overhead _ n U dgrna cae— No. of Meters Num bar ( Feeders. seders and Ampacuy Location and Nature of Proposed Electrical tNorK No. of Ligntrng Outlets �� I No. cf Hol - cat Total KVA No. of Transformers ransformer• KVA No. of Linun Fixtures I Aocve.— :n- Swimming 9 1 Swimming P^o, r- /r grra. _ Srno I Generators KVA No. of Receotacte Outlets INo. of Opt corners I No. of Emergency Lighting Battery Units No. of Swrten Outlets I No. of Gas =urrers FIRE ALARMS No. Of Zones No. of Ranges / I No. cf A,rC.:r.c. 'alai No. of Detection and chat Initialing Devices NO. of oisoosats I No.ol Meat 0:a, alai Put-::s No. of Sounding Devices IINo. of Oisnwasners SoacerArea Heat,ro No. of Serf Contained rc:i OeleetronrSounatnq Devices No. of Dryers I Heating Cev,ces KW Local - Munrcicar ._ Connection Other NO. OI Low Voltage i No. of Water Heaters KW Signs 9a las:s Wiring No. Hyaro Massage Tuos + - I No. of •'vlotcrs .alai HP OTHER. INSURANCE COVERAGE. Pursuant :o the reowrements zt %lassacc,.sers ;enerai Laws I have a current Lraodrty Insurance Policy ,nctua,ng C;,mc etec Ccerai ions Coverage or its substantial epuivaNnl. Y93 -=—No _ I have sucmrneo,valid proof of same to the Office. YES 2 v0 = It you nave cnecKso YES. ofoaso rnoicale the type of cdvera a dr r checking the aopro nate cox. INSURANCE Z80NO = OTHER = (Please Scec."�) Estimated Value of !ecl I al work S l �{ t�au� Dame . work to Start Y Insoecaon Date �ac6es:ec: Rougn /I �J Fi /nal / 1 . Signed under that Penal tea of Pill : FIRM NAME ` E /< <` UC. NO.� Q� Lioness DYKE S,gr-a:ore U . No. 4 Address / C ` lam` t� Bus. Tel. No. 7�° - O 1 /� ` Q !Y 6 — All. Tel. Na. OWNER'S INSUAANCF- WAIVER: I am aware that the t_:censae aces not nave the insurance coverage at suoetannal equwetent as re.1, ourre0 by Massachusetts General Laws, ana trial my signature �n r.,s =erma aopucaton waives this reourrement, Owrter (Please checx Oner Agent sieonone No. PERMIT FEES (SJnature of Owner or Agent sifl�f • N21432 iii_ . f NORTl� " TOWN OF NORTH ANDOVER p PERMIT FOR WIRING -' � : i This certifies that .....................`................ ......................... ............... .... .. ..... has permission wiring in the building of�! .... .. .... :%..!? ...................... Jr at.....1 ....................... . .... . ....... ,North Andover,Mass. f ��-2F ::........... Lic.N .. ........ ............................................................... ELECTRICAL INSPECTOR 02/10/98 14:04 150.00 PAID 4 WHITE:Applicant CANARY: Building Dept. PINK:Treasurer I , r Form No.4 f. . Town of North Andover, Massachusetts BOARD OF HEALTH June 9 . 19 98 CERTIFICATE OF COMPLIANCE This is to certify that the Individual Soil Absorption Sewage Disposal System constructed (X) or repaired ( ) by Peter Breen INSTALLER at Lot 10/11 Rocky Brook Road ' North Andovr, MA sl has been installed in accordance with Board of Heaolth Regulations as described in the Design gJ. Approval Site System Permit No. 971 dated 10/10 1997 The issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. BOARD OF HEALTH - ` i TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System constructed; (' )repaired; by located at /oz �D was installed in conformance with the North Andover Board of Health approved plan, System Design Permit# dated l d /o _, with an approved design flow of gallons per day. The materials used were in conformance with those specified on the approved plan; the system was installed in accordance with the provisions of 310 CMR 15.000, Title 5 and local regulations, and the final grading agrees substantially with the approved plan. All work is accurately represented on the As-built which has been submitted to the Board of Health. Bed inspection date: Inspector Final inspection date: Inspector Installer: . Pe--FL Lic. #: Date: i - Design Engineer: Date: I t4O R T0VM Of t " 4Aindover 1900 _ ;LAKE " lover, .Mass �Oe)_12 'QA_C -H GHEWICK yY'� R �q,q E D�PIP `SS U BOARD OF HEALTH PERMIT TFood/Kitchen Septic System 00- xi- BTAI DING INSPECTO THIS CERTIFIES THAT.... ....... . ... . ... ......X ............................................. Foundation has permission to erect............... ........ ............ build' gs o �.C ..��........... .... Rough to be occupied as.... !�...... . * .. . ll ............................................................ Chimney provided that the person ac ting this permit sha ie ry respect conform tee terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspe tion, Alteration and Con ruction of Buildings in the Town of North Andover. PLUMBING INSP CTO VIOLATION of the Zoningor Building Regulations Voids this Permit. �,��� a�7. /1, "4-C� 9 g Cf�`�" C PERMIT EXPIRES IN 6 MONTHS we ~ ELEC IC IN T R UNLESS CONSTRUCTI TA o ......::-.::.:: _ Service B LDINGnFc"r[�R Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in 'a Conspicuous Place on the Premises — Do Not Remove F nagh No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. C! AP 14 We Town of North Andover, Massachusetts Form No.2 f NOR7M BOARD OF HEALTH (� p DESIGN APPROVAL FOR ss"CHUSEt SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM Applicant Test No. Site Location Reference Plans and Specs._^ � ENGINEER DESIGN DATE Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. \ CHAIRMAN,BOARD OF HEALTH Fee Site System Permit No. Q7/ Town of North Andover, Massachusetts Form No.3 = NORTti BOARD OF HEALTH .- pfo l Z.A d 19� �9"°•,T���'"�" DISPOSAL WORKS CONSTRUCTION PERMIT SS�CMUSEt / Applicant NAME ADD s TELEPHONE Site Location 71 Permission is hereby granted to Construct &A or Repair ( ) an Individual Soil Absorption Sewage Disposal System as shown on the Design Approval S.S. No. �7l �y CHAIRMAN, BOARD OF HEALTH'' 7S Fee D.W.C. N.O. . - t • _ 1 APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: ACURRENT INSTALLER'S LICENSE# LOCATION: '— 10 LICENSED INSTALLER: SIGNATURE: E;�-ALL: TELEPHONE# — L. CHECK ONE: REPAIR: NEW CONSTRUCTION: IF NEW CONSTRUCTION, PLEASE ATTACH FOUNDATION AS-BUILT. Administrative Use Only $75.00 Fee Attached? Yes No Foundation As-built? Yes No 1.' ` Floor plans on file? Yes . G_1 No ;�7 Approval // 3 Date: 5 1 1 - �� _-��■■ ___ ■■■ __ � :■■■ ___lif■■■f —X11 ■■■r tt — a ■■■ _ ■■■ -- �� a=; ■■■ = ■■■ = ;■■■ -�I=! ■i�■ �■ _- ■■■ _ ■■■ ? �:: =i ■■■ —_ ■■■ ■■■ _=_1!+■■■ _= —ill MEN OEM m ME ■■■ ■■■ -° =_= �` - -- = \R\ ■■■ ■■■ _ ■■■'_ ■mil= e■ ■_ _�_ ■■■ == ■■■ ° :C: ■■ _ ■■■ I__ � ■■■ -o= ■■� -__ _.. � 1 �_ a– (■■i ='—I_f��■ �-a _-- \\\ 10 .r. ■ _____ ■■■ ____ __ ■■ ■■■ ��� �� —_ -___ ■■■ __—__ ■■ - - . sell =—___ �■■ - -- ■■ -___ ■■■ mm _ -_ — _ __ �■■ __ _ ■■■ __ � —- son =_ == === =_ = i� ■�a i� = == ■■ ---■ = = ■■= � = = == loll I -p _ IN son so one; — ■■■ so, -- - --- r ` Continuous Ridge Vent 2 x 12 Ridge Board 1 x s Collar rise -9 4'0" O.C. ` y i2 9 D ROOFING Composite Roofing Building Paper 'Sheathing 2x8 '@ ibu O.C. - — 1=ascia Board CEILING 2 x 8 �A 16" O.C. Overhanging soffit with venting R30 .1 Insulation iv or Barrier V2,.Wallboard. 113%4" "Sheathing ,. '13 2 X 10 0 16 O.C. WALL -— Siding, Air Barrier _ Sheathing, 2 x 4 Q 16" O.G, y' Ril Insulation, vapor Barrier V2" Wallboard co j. FLOOR 3%4" Sheathing GILL 2X10Q16" 0.C. 1 - 2x6P.t., I - 2x6KD. I3402 , 8 . 43 RVO Insulation Continuous S11 Gaeket -— NMUM boo UUM U686 Boo U 5668 MEMO bob Ron bubmub 1/2" pia. x 12" Le. Anchor Bolts +. 0 8;0. O,C, (max) i 3 - 2 x 12 Center Beam 'my _ 3 1/2" Dia. !_all Columns e With 2'6" wide strip footing a � (see foundation plan for locations) FOUNDATION e 10" Concrete Wall / 8'O" Pour 10" Pp x IV W Cont. rooting �� Dampproof exterior surface 4 Concrete Slab a WOUSE r - y � �1/4" n 1'0" 10814 K/ 1O Continuous Ridge vent SECTION GENERAL NOTES= 2 x 12 R idea Board 1, Floor design live loads are based on lot Fir 6 40#/sq, Ft., 1 x 8 Collar ties 4'O" O.C. 2nd Fir.9 300/sq. ft.and nonusable attics Q 200/6q. Ft.. ROOF design loads are 300/eq,ft. live load and 10/sq,ft.dead load. 13405 , 14 Table 3406-6 I 2 Minimum ceiling height for habitable rooms is 1'3". in a room with a sloping ceiling the prescribed ceiling height le required In only one half S - ROOFING of the area of the room. No portion of the room measuring less than 5 feet finished shall be included in calculating minimum area 13401 .6 . I I , Composite Roofing 3. Staiwa Headroom. Stairs between lot 4 2nd Firs,and 2nd 4 usable attics 5headth� Paper shall have a minimum headroom of 6' 8" measured vertical from stair nosing. O 2 x 8 ID 16' O.C. Basement stairs shall have a minimum headroom of 6' (o". 13401 . 10 . 8 , Fig. 3401-14 Bib , 2 . 2 I 4. Firestopping shall be provided to cutoff all concealed draft openings CEILING Fascia 5oard (both vertical and horizontal) and form an effective fire barrier between 2 x B lb" O.C. t� stories,and between a top story and the roof space 13403 . 2 . 1 I . R30 Insulation Overhanging sofFit 5, insulation minimum total R value requirements for Vapor Barrier with venting Exterior walls Is 12.5, Floor over unheated space is 20.0, Roof/ceiling 1/2' Wallboard, assemblies is R30,and Finished basements walls Is R12.5.t Table 3423-13 . 6. A vapor barrier of lA perm or less shall be Installed on the winter warm side of walls,ceilings and floors enclosing a conditioned space I 3422 . 1 I FLOOR 1. When eave vents are installed,adequate baffling shall be provided O 3/4' Sheathing to deflect the incoming air above the surface of the insulation with 2 X 10 6 12' O.C. a 2 inch minimum clearance under the roof deck L 3421 . 1 . 3 3 . UJALL Sid's,Air 5arrier Sheathing, 2 x 4 6 16" O.C. insulation, vapor Barrier 1/2" Wallboard c� N*6- FLOOR 3/4' Sheath ng ` 2 X 10 6 ib" O.G. �x _ R20 insulation PR GILL 1 - 2x6P.T., I - 2x6KD. I3402 .8 . 43 .. Continuous Sill Gasket GARAGE FiNiS�-I 3 - 2 x 12 Center Beam 1/2" Dia. x 12" LEI. Anchor Bolts ` 3 U2' Dia. Lally Columns e 's 8'0" O.C. (max) All wood constructed wails and (SSB FDN PLAN FOR LOCATIONS) _ - ceiling to have 5/8" type 'X' fire `e O rated Wallboard Installed m 13401 . 13 .2 1 FOUNDATION e 10" Concrete Wall / 8'0" Pour 10" Dp x I'8" W Cont. Footing Dampproof exterior surface 4" Concrete Slab WING SECTION - R 31011 2'6". .._.�r,!0" 2'6" $'6° 12'0" -ti 41011 3101 21611 61611 61611 IE 61011 SLIDING 1 00 FAMILY ROOM KITCHEN, 5RK ST LA � =-ri � STUD=Y o - f 21411 c L — 1ti 1 n 1. u — �— 20 36 ��• + ` � � `. 1011 - o CJ r 1 rVCIA — O _ 4163/4u 3101 31�3/4n p - c., cv -------------- ------ 11 1 18 _ 3 C-4 _. 2161218111 /4 — O CIA IF ;. O O' + p T1 - UP PINING ROOMLill FOYER o LIVING t f - - 161 161 cYl _ CL C:L, O 1 it cv f i 3161 11011316121611 316u3,61 2161 3161 110n 3'bn 41011 ~n' Q1O11 4101 141011 121011 141011 k 16,01 40'0" , F IR_ST FLOOR FLAT--ll 10014 3-l( l -------- C = ■■■ =-= = __ C-_ _ ■■■ -�- ...... - ■ =_=__-_M .. Sam` 1■ oil III a -=MR-r- oil _- _- ■■■ ___ __ ■■■ __ �� ■■■■■i - ■■■ _-______________ ■n — ■■■ —_____--� ninon ■■■ �� ■� ■■■ ■■■ ■� ■��_� —_______-_ ■■■ ___=_ == _ ■■■■■ If ■■■ ■■■ 7■I =______ ■10 = min __===- = 11 Nonni U'' ■■■ ■■■ = ��1�_==___==I�1�� ■■■ ■■■ ■■■ ■■■ Nil; ■■I111111 ■■ • =_ ;��' 111111 ■■ - _ 1� == 11' 111111 11 o ■1. 111111 '1i' �- -- F MAXIMUM ALLOWABLE SPANS FOR JOISTS/RAFTERS iiil�t Flush Fram�d.Floor Beams by others) sp'" 12 1' 14' 6 Attic access to be located bg budder All members 2 x 8 ID 16' O.C,OMO. FIRST 2 x 2 x 10A& 2 x 10/16 2 x� 2 x 12/w ATTIC F-1 e7) nE FRAMING SECOND 2 x 8/16 2 x 8/12 2 x 10/16 2 x 10/16 2 x ID/Q ATTR R819�R00�16 2X10/16 2 X 12/16 V811 - Von ATTIC2 x 6/12 No wasrm RUM 2 x 6/i6 2x 8/16 2 x 8/16 2 x 8/16 2 x 8/1b c.&M"oR MSG 2 x b/Ib 2 x b/Ib 2 x b/Ib 2 x b/ib 2 x 8116 ~ t ROOF orae ATW 2 x 6/12 2 x S/ib 2 x 10/16 2x10/16 a x�A1 i CATHEDRAL 2 x 8/1b 2 x /b 2 x 10/16 2 x 10/16 2 x�� JOISTSIRAFTER SPAN NOTES: LL,FR` I. Span Tables for:First Floor Joist 13405-2 I Second floor t useable attic Joist L 3405-11 Attic (w futia-e rooms)13406-1 I Gape attic floor Joist C 3406-2 I x 12-R Idee Board Roofs over attics C 3406.61 2 x I2 Rldge Board I I I I I I I I I I Cathedral Roof Rafters 13406-3 I 2. Maxie m span for 2 x 8 ceilkeg Joist for cape attics Is IS' Il' C 3406-21 All members are 2 x S 61 16" O.C.0j.N.0) • l3 . 10814 a-1c; Area with double shear lap in floor,foist ,l J o , MAXIMUM ALLOWABLE SPANS FOR HEADER r SUPPORTING WOOD FRAME WALLS r� . All.Span of Headers, ! r Stze of Wood STortN One Story Two Stories h Garages or in Wails l Header Roof Above Above not supporting '--- Floors or roofs 2 -2X4 4' 6' 2 -2 X 6 4'to 6' 4' 6' to 8' 2 -2 X 8 6' to 8' 4' to 6' 4' 8' to b' 2 -2X 10 8' to 10' 6' to 8' 4' to 6' 10' to 12' 2 -2X 12 10'to 12' - . 8' to 10' 6' to e' 1?' to 16' All members are 2 x 10 'A 16' OZ,(U.N OJ FIRST FLOOR FRAMING i FRAMINGs G=ENERAL NOTES= L All structural materials shall be void of any defects that may diminish their capacity to function in an adequate manner. E Structural Engineering or any other professional services that may be required &hall be provided by others. 2, Framing lumber.Spruce-Pine-Ft,No,2 or better,with a Design p u Value in Bending 'Fba of 1000 for normal duration.L Table 3403-3D I 3. Minimum bearing for Joist shall be 11/2'.L 3405 .2.4 I 4. Use built-up 2 x 4 posts under all beams(4 minimum). ulush Framed Beam X B. Double up floor joist under partition wails above. r n Ali members are 2 x 10 10 16' O.C.(U N.OJ SECOND rLOOR F ' AM INCA 10814 8-10 44'6n - 5,0n 4'6n r ------------- - 3210" 12'6" 7'0" 17'8„ 7.4„ p ---- 1 _ o ------------------- - ----------------------- - r --------- -------------------- ---------------------------------J P• �- ; p. L N G -------------- Cr r ------ - - -- 1------L------------1 �• ' �. ----- - --------------- 1 ' GARAGE FINISH FOUNDATION ' I ' n n All Wood constructed Walls and CeilingI 1 •� ; 10" Dpnx 1'8e W CWalo/ noting Pour r to have 5/8" type 'X' Fire Rated Wallboard installed I ; 1 1 1 3 — 2 x 12 Center Beam (typ) 1 i i o 1 416" 1 n � n , n , n e n � 1 46 618" 68 68 68 710 142 1 ; o 1 - 1 1 1,6rr ►,, ; - - � - - �o 00 I i r - - 1 I I 1 131/2 Dia.Lally Columns o N With 3'6" Sq.X 1b" Deep Footing (1 req d) N , 1 I I I I 71 n —i —I I I I ► I o I— II— UI I I L _I_ L J . I 1 1 e ' ' "- --� co ' I o BEAM POCKET F- -I ,n I I I I 1 "' 2 — 31/2" Diu.Lally Columns ; 1 o " " I L L 1 1 J N With 4�6" x 2'S" S x 1'0" D ; I o 0 1 > r- 6 W x 6 Dp x 9 H (1 req d) [ 3402 .8 .6 I - 4 p• I , m a, Shim beam with steel slims or hard brick — J 31/2" Dia.Lally Columns Footing (1 req d) I 0 1 ; ; With 2'6," Sq.x 10 Deep ' �n ; ►� 1 1 Footng,(5 req'd) I ; 1 1 I 4 Concrete Slab I e M Slope 1/8" per foot 1 ; 4 Step Down into Garage '> 1 r------------------- -00 > : 1 1 1 , 1 , 1 r------------------------------------- CD1 1 a 1 �'. •-- --------------------------------- -----' 1 o p s p a p 1 1 p 1 1 ------------------------------------1 r-------------1r------------------------------------ CN 1 1 1 1 1 p 1 1 p 1 1 1 1 13'6" 316" 610" 3'6" 13'6" 54'0" FOUNDATION PLAN 1/4„ = 10 10399 5 13'73/4 8'6" 6'10/4 11'0" 1410" 7'0" 6'73/4 316" 50" 2'2" 4'81/4" i BEDROOM #4 WALK— IN =CD C13 CLOSET cD Q o I --� �CL. � N 0 24 5'13/4" 510" 316" N U 12 Lo 216" 21 6" 20 $" ` N 0 2'4" 616" 2'0 4'2'/2" _ o CL. CL. � CDM BATH j� N 00 ca T N : r 0 if 2,4" 2, » N - ao O N CO �r 2'4" coCL. o 0 N CL. o IF\ 2 - 3b" 8'21'2" 4'6" - o - - - - - - - - - - - - - - - - - - - BEDROOM #3 BEDROOM #2 M BEDROOM #1Lo ------------- jl.�[ v :r----------------------r— co C-4 3'6" 316" 410" 6'6" 3'0" 616" 6'6" 3'0" 6'6" 410" 396" 7'0" 316" Dim Ne 13'6" 13'0" 13'6" 1400" all SECOND FLOOR PLAN 1/4" - 110" 10399 4-9 u Continuous Baffled Ridge vent 2 x 4 Bottom P-late Ridge Board , _ _ ; f � 2x Band Joist a6 . J 1 x 8 Collar Ties 4 O't O.C. Roof Rafter Roof Rafters - - Maintain 2n min.clearance Floor Sheathing E 2x Floor Joist Fascia Board Ceilin Joist 2 - 2 x 4 To Plate g Overhanging soffit p - - with venting ,4 R id.919 Feta it 1/2 211011 n B sorrit Detail 1/2„ „ G exterior Interm' Fir, 1/Z , n a ,,o. 1101131'0 2 x 4 Bottom P late z 2 x 4 Bottom Plate 2x Fire Blacking 2 x 4 Bottom Plate Floor Sheathing 2x Band Joist R20 insulation 2x Floor Joist - R2O insulation 2x Floor Joist �2x Floor Joist 3 - 2 x 12 Center Beam Lall Column Ca Plate 2 - 2x4 To Plate � Fasten to Center , � 1 - 2x6 P T.� 1 - 2x6 K.D. Sill Top w/S11 Sealer 3 1/2 Dia,Lally Column 1/2 11Dia, x 12 Lg, Awhor Bolt Internal I �Ir, „ , ,� G e mer e a m „ �, S 111 Concrete Foundation a 111 1/2 = 1 0 i/2 = 110 1/2 _ I O t A Flashing f :Pecking $s _ 2x Deck Framing (P T) Joist Hanger a Concrete Foundation C Stair/Decd Gone, ,1/2 _ 1101110814 10 -1 0 _ INSTRpCTIONS: This FORM Q - LOT RELEASE FORM form is used to verify approvals/permits from Boards and Depa� that all necessa have been obtained, ents Navin landowner from compliance with not relieve the applicant�wrisd Jurisdiction regulations or requirements. any applicable a and/or local or $tate lav, ****************Applicant fills out this seotion***,►*,►*: APPLICANT• IV ******#* Phone LOCATION; Assessor's Map Number --OPT, Subdivision vc Parcel OoS' � 00� StreeLots t ) /O h St. Number Official Use Only********* . REC DATIONS OF TOWN AG / ENTS. C o. se rvatt Administrator Date Approved ov e d Date Rejected r? i on V _Q gown Planner — Date Approved Comments Date Rejected C Food Inspector-Health Date Approved Date Reected V SepticpeCtor_Health Date / Date Rejecteed /D Comments IVESoo,C ' t�A,v S Public Works - sewer/water connecti ons driveway permit Fire Department Received by Building Inspector I Date PLAN REVIEW CHECKLIST ADDRESS �aT /��/ ��f � ENGINEER GENERAL 3 COPIES STAMP LOCUS L---� NORTH ARROW CI-1, SCALE �--� CONTOURS ✓ PROFILE � (Sc) SECTION c-- BENCHMARK ±"-' SOIL & PERCS ELEVATIONS c./ WETS. DISCLAIMER WELLS. & WETS WATERSHED?,J�/,2 DRIVEWAY &" WATER LINE `l--111' FDN DRAIN f. M&P SCH40 &""' TESTS CURRENT? QK SOIL EVAL 'CiesQ SEPTIC TANK MIN 1500G � . 17 INVERT DROP GARB. GRINDER)4� (2 comps +200) 10 ' TO FDN '� MANHOLE ELEV i GW # COMPS . / GB L--"� D-BOX SIZE ## LINES FIRST 2 ' LEVEL STATEMENT INLET /o - OUTLET,, (2" OR . 17 FT) TEE RE 'D? LEACHING MIN 440 GPD? RESERVE AREA �4 ' FROM PRIMARY? �2% SLOPE 100 ' TO WETLANDS x-100 ' TO WELLS 4 ' TO S.H.GW l- (5 ' >2M/IN) 20 ' TO FND & INTRCPTR DRAINS 400 ' TO SURFACE H2O SUPP v 4 ' PERM. SOIL BELOW FACILITY_O[!�— MIN 12" COVER C/ FILLS ( 15 ' ) BREAKOUT MET? C/ TRENCHES MIN 440 gpd SLOPE (min . 005 or 6"/1001 ) 1�SIDEWAL L DIST. 3X EFF. W OR D (MIN 6 ' BETWEEN TRENCHES? �IN FILL? 'MUST BE 10MIN. �4" PEA STONE? 6---- VENT? .__1f� �(>3 ' COVER; LINES >50 ' ) BOT �v� + SIDE--10-0 = �y 0 06 ( L x W x ##) X LDNG "'3z = TOT B ? (DxLx2x##) (G/ft2) Copyright Q 1996 by S.L. Starr i SEPTIC PLAN SUBMITTALS LOCATION: �� % 1641 NEW PLANS: YES $60.00/Plan r REVISED PLANS: YES $25.00/Plan DATE: D DESIGN ENGINEER: W e—I Q_ t45S(D C-1 ac T-e When the submission is all in place, route to the Health Secretary FORM 11 - SOIL EVALUATOR FORM Page 1 of 3 No. --_._„_a-�,. Date: g'7 TOtAN OF%Vy?Ti1 A111 Commonwealth of Massachusetts`�K s_t'J- s. r,L.,i Massachusetts SEP 1 21997 Soil SuitabilitvAssessme t Aar 6 In-lite-SewD' Performed By: 5't.e v6n D�Vf�o Date: N otre l-, )S , 19955 Witnessed By: Sat^4y St:.a r r Location Address or Owner's Name O vn v, Lot# 10/1 Roe.KY 6rooK Address and R O a of Telephone# 34-.S 3tc.rtng St.. N. Ar%dovet' MA sofas (055- O Z.$ New Construction FRI Repair Office Review Published Soil Survey Available: No 71 Yes Year Published 9$` Publication Scale 1": 13-4o Soil Map Unit C,C G G ti►aC I o�+> Drainage Class Soil Limitations MpdL{wee S1opL )goat S`�anC$) Surficial Geologic Report Available: No F>7< Yes Year Published Publication Scale Geologic Material(Map Unit) Landform C7Povnd Mor.��n( Flood Insurance Rate Map: Above 500 year flood boundary No Yes Within 500 year flood boundary No X Yes Within 100 year flood boundary No X Yes Wetland Area: National Wetland Inventory Map(map unit) Wetlands Conservancy Program Map(map unit) Current Water Resource Conditions(USGS): Month Range: Above Normal Normal Below Normal Other References Reviewed: DEP APPROVED FORM-12/07/95 soileval.sam FORM 11 - SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot No. 1 O/i 1 tO'fi N O 1�} �I se ' On - Site Review r ai L_ j 95 3 SEP 1 2 1997 Deep Hole Number @000ft Date 3/15/957 Time A M Weather Location(identify on site plan) Set- Q1wn Land Use Rp.*;d►an+i a t Slope(%) '7 % Surface Stones Vegetation W'4c'4 C A� Landform Gro.j r,d more.:--N Position on landscape(sketch on the back) 5C-e P 1 a n Distances from: Open Water Body NA feet Drainage way Z'jO feet Possible Wet Area I e�p' feet Property Line (os' feet Drinking Water Well NA feet Other DEEP OBSERVATION HOLE LOG* Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(Inches) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, Consistency,% Gravel) rJon¢ D�SLen . 13 E $Z t. Bunds ane of 32 )Zc C. Grs c11 y s•�dy Z.SY 00 n¢ $o J1 Act-> Loam. $14 G-c�J M 9� 'MINIMUM OF 2 HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Parent Material(geologic) G,lac 1-111 -r; I' Depth to Bedrock: Depth to Groundwater: Standing Water in the Hole: 9 Weeping from Pit Face: —» Estimated Seasonal High Ground Water: gZ" DEP APPROVED FORM-12/07/95 soileval.sam FORM 11 - SOIL EVALUATOR FORM Page 3 of 3 Location Address or Lot No. 1't;?WN OF N09TV ANDOVER/ Determination for Seasonal High Water Table i SEP 1 2 1997 + Method Used: z� Depth observed standing in observation hole ID2 t inches Depth weeping from side of observation hole inches Depth to soil mottles inches Ground water adjustment feet Index Well Number Reading Date Index well level Adjustment factor Adjusted ground water level Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? yes If not, what is the depth of naturally occuring pervious material? Certification / I certify that on 1 ! 9 4" (date) I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. Signature S C �! Date o9�08�97 DEP APPROVED FORM-17/07/95 soileval.sam FORM 12 - PERCOLATION TEST Location Address or Lot No. Lot. ►o/► t COMMONWEALTH OF MASSACHUSETT-S-z Massachusetts SEP 12 091 Percolation Test* Date: Time: A M Observation Hole#: -r P Z 1 (��►0•►� F' ►o-Z ��g 5-3� Depth of Perc 46" Start Pre-soak i o: 70 A C,; L4. End Pre-soak t o•. 4 Z •» to- 41 a�. Time at 12" ►o 4 Z M t o : 41 Time at 9" 11:09 4 4 G... Time at 6" 1! . SA. 10-. 4150— Time o: 48aMTime (9"-6") 45 .�,:,,��e S 4- �,.►���'t�S Rate Min./Inch 15 z *Minimum of 1 percolation test must be performed in both the primary area AND reserve area. Site Passed ©Site Failed n Performed By: S -�„e,,j c„ �' UT-.50 Witnessed By: M; 14.e. GrC'a;T t SQr.dy Stmrr Comments: --1 �nd,r r �9N ver SMMT S SEPTIC TANK SERVICE JAG Nllain 9f. 47 RAILROAD STREET Na f1 h A BRADFORD, MA 01835 Wh v I Lie. !5/-L z 978-372-7471 MORMOF U��6 be-r- ��o mom= WORT MR %XMN of lido A Arl ADS ----- cALwNs axe= /1006 -------------- /Cf n loo® 176 Toc/C�,-ern-� . 1506 L16(0 win I ®_ 71 (3 1-,)la c ern f t�dc� q tc� M `13 r-L /� =e (r c� t�� Commonwealth of Massachusetts W City/Town of North Andover f r u 5 .0 13 System Pumping Record Y TC V!:"'i:r ,,dLOw'ER Form 4 HEALTH DEPARTMENT M DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. The System Pumping Record.must be submitted to the local Board of Health or other approving authority within 14 days from the pumping date in accordance with 310 CMR 15.351. A. Facility Information Important:When filling out forms 1. System Location: on the computer, use only the tab key to move your Address cursor-do not North Andover Ma 01845 use the return key. City/Town State Zip Code 2. System Owner: Name rehan Address(if different from location) i City/Town State Zip Code Telephone Number B. Pumping Record 1. Date of Pumping Date i/la � ua2. Quantity Pumped: Gallons 3. Type of system:. ❑ Cesspool(s) (Septic Tank ❑ Tight Tank ❑ Grease Trap ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: 00d 6. tem�PumpedB�, Name Vehicle License Number Stewart's Septic Service Company 7. Location where contents were disposed: Ste is Pre-treatment Plant, 20 So. Mill Bradford, Ma 01835 I Si ure of Date l� Signature of Re iving Facility Date t5form4.doc•03/06 System Pumping Record•Page 1 of 1 TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD '0 STEM OWNER & ADDRESS SYSTEM LOCATION (example; left front of house) /3A �'10f rq L),\,!*.r UF.PUMPING: QUANTITY PUMPEED/5—VOG'ALLU�� i:»I'UUL, NO IZYES SEPTIC TANK: NO YES ATURE OF SERVICE: ROUTINE V EMERGENCY UH->FRVATIONS: CUUD CONDITION _ FULL TO COVED HEAVY CREASC BAFFLES IN PLACL ROOTS LEACHFIELD RUNBACK . EXCESSIVE SOLIDS FLOODED g SOLIDS CARRYOVER Oj�HEfl (EXPLAIN) i 'm PUMPED BY: C U11 'YIFNTS: UN I I-..N I'S TRANSFERRED TO: 04/06/1997 15:02 5083736611 -STEWART/ANDOVER PAGE 01---- Aain St 47 FaiLpM qfr4MVIt2+ — Ah ,I A nowp., - , MA 42835 lta.sv J 1�0-op 578-372-7471 MDMV or Of FOR IEW 18 MUM /Op mew- �" nnan ,Or• � 073"3 fir/ kn lane_ 15ao g 5Z. W i a4 k, vrn 507te W, 5'7 O®/6 i7 tq tS (g7l(v an eon 10/- I 0rI r3 vern Ian �4 ,ern ILIni TOWN O NORTH ANDOV R SY T�� PUMpr RECORD DATE L� p0\1 SYSTEM OWNER& ADDRESS SYSTEM LOCATION ; .N0 Ham. Sh e-eAgo / o 5 k6ay 1,jr6aJ� LUQ Oao ve� Ma- DATE a-DATE OF PUMPING:__-(0 //5 D _ _QUANTITY PUMPED: �Q�} Qa CESSPOOL: NO-.,-.---YES--- Septic Tank: NO _ YES- NATURE OF SERVICE: ROUTINE EMERGENC)' OBSERVATIONS: GOOD CONDITIONFULL TO COVER _ HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUN13ACK EXCESSIVE SOLIDSFLOODED _ SOLID CARRYOVER OTHER EXPLAIN System Pumped by COMMENTS: CONTENTS TRANSFERRED / '$ a r ,• Us TT S ''��••.,�' � ., � , ' �� �fl � NOV 13200 ' Ot"P.hee provided fhlj loan Icr l gp v, ;ocot 6c /�dWNNpQF�N� ORTHANDO?/ER De +ubml!!od !o 8ca the local rc cr noa to or oln H�14['1bEP A�JIER A. Faclllty Inforrrl'atlon s:Qm >' location: W w r n cpm :,• '�,� 7... . I -- - tom Owner,•; ;:';, `, � r /l •111 ��.),�iy.l'Y';1�J•,. ..t •e,"V,•,. .. r. 71 ' I',r A,ddr+.+� (II dUfrrrnl ran buUcn) -- To'Opnpn+ N"mp+1 --- ;; � PumPing Regord f `' lOale o! Pumpinp M r f Cil+ a�= l r• ;6C T. — �� '� • YPe ol8y3jom;.. Ces9p (y 1Lcr., Tann 7!� ` ^t Tangy �::�Q%0+her describe:• • MOV Too,FII(a(Pr,��ont? r' Yo9 n' ,i o , '�rTs,vl�4fr,,1,;., y69. n'69 I, C! YaS �Co�di�lon'Q(;9y��lm;'''� — �:'�; r,f ..............., AA II' •111".V.', ,Il,I ' SY P�'mpod r ; � Ucen+l number , r r`f'I'•%:R ' ::,.l,l �.;,,i,A I,�la':; dl.� orC�;�►f�l;?;�.;,�;. . On.where•Conlenls',yrera dlyposeo; ,�,..; � � .,•, :,.! •. .• v�e(;y�.4,X�<.,..!•,: .I . X11+ n�ww.maw.gov/dad.�waler/approvaJa%(blorms,n.M;ln9 act --------- r -,1 C o monwealt h. of Massachusetts �`.. Ci. IV Y, n' f NORTH AN®OVER MASSACHUSET System Pumping Record Form 4 DEP has provided this form for use by local Boards of HealthTa -ig Rec rd mu! be submitted to the local Board of Health or other approving A. Facility Information 006 1 - Important: � When filling out 1. System Location: DOVERforms on the ENTcomputer, use q ���only the tab key Addres to move your cursor•do not �C_/!—_—� __ use the return City/Town �F =/ _—--- State key. Zip Code 2. System Owner: Name - ' Address(if different from location) City/Town -----� _ -__-----... _ ------ ----- ---- State Zip ode Telephone Number B. Pumping Record -- 1. Date of Pumping __ Date 2. Quantity Pumped: -r .._.._.._... Gallons - Type of system: ❑ Cesspool(s) eptic Tank ❑ Tight Tank ❑ 4ther(describe): __--- ----------- - - _..—_.- —... ------ –.. __ _ 4. Effluent Tee Filter present? ❑ Yes If yes, was it cleaned? ❑ Yes C 40 5. Condition of System: Sy em Pumped By: Name Vehicle License Number -- CU/ I Q rpt/'Y1, Company' � 7. Location where contents were disposed: Si ature of Hsu /- Date -J— — --- - -- -... http://www.mas4igov/dep/water/ provals/t5forms.htm#inspect t5form4.doc-06/03 System Pumping Record- Page ! of '�: .."t 5y''v,�?�r, y 1� S�li�ti 2} t ft C 'p t 1"lr�Y ll rr � '✓ � . 'Commonwealth of Massachusetts cit.,rrl of NORTH ANDOVER, MASSACHUSE System:pIn''g Record. Form 4 DEP has provided this form for use by local Boards of Health. The System Pumpkng Record must be submitted to the local Board of Health or other approving authority. A' Facility Information Important: �*"fiuim out 1., System Location: forma on the • / a 5 Rc)d(UofwK- 'I e cort►witer,use only the tab key Address to move your cursor.do not Cttyfrown State Zip Code use the return key...., 2. System Owner. r Name Address(If different from Iocatlon) City/Town State Zip Code Telephone Number B. Pumping Record In p- _ 1. Date of Pumping a0 2. Quantity Pumped: p g Dai Gallons 3. Type of system: []. Cesspooi(s) Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Toe Filter present? ❑ Yes ❑ No If yes,was it cleaned? ❑ Yes ❑ No 5. Condition of System:. Pe : 6. System S s Pumped B i Y Y ame Vehicle License Number T Company, 7. LA80on wtAre contents were disposed: Il . B Sipnatm of Hauler Date http:/twww.mass.gov/deptwat.or/approvalsA5forms.htmffinsped t5forrrolAm 0663 System Pumping Record•Page 1 of 1